MLS Reactivation

"*" indicates required fields

Subscriber First Name*

Agent or Appraiser

Subscriber Last Name*

Effective Date*

Office ID*

If you do not know this, see your Broker.

Nickname

Personal contact number that will appear in HMLS and on Listings & Reports:*

Mobile Phone

Office Phone

Mobile Phone*

Office Phone*

Website

Email*

These are the inital fees and the fee schedule for your reactivaiton.

MLS fee during these months

Example: If Reactivating in the month of January, your total will be $165.00, combining $75 from the top section and $90.00 from the bottom sections.

Prior MLS Agent ID if known

Debit/Credit Card:*

Expiration Date:*

For two digit date just use first day of month. i.e. 11/2024 would be 11/1/2024.

CID # / Security Code – (Usually on the back of your debit or credit card.)*

3 or 4 digit code

Name on Card*

Billing Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Signature

I understand my card will be processed based on the fee schedule above.*

Yes

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